I remember Toad's sister saying that Toad was born 10 weeks premature and that's why he has all kinds of medical and mental issues. It explains a lot. Toad always getting penumonia, bronchitis, underdeveloped mental skills, short height, thin bone structure, physical weakness, etc.

Can premature birth affect a baby’s brain?
Yes. Premature birth can lead to long-term intellectual and developmental disabilities for babies. These are problems with how the brain works. They can cause a person to have trouble or delays in:

Physical development
Communicating with others
Getting along with others
Taking care of himself
Some long-term disabilities caused by premature birth include:

Behavior problems, including attention deficit hyperactivity disorder (also called ADHD) and anxiety
Neurological disorders, like cerebral palsy, that affect the brain, spinal cord and nerves throughout the body
Autism, a group of disorders that affect a child’s speech, social skills and behavior

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